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1.
Camb Q Healthc Ethics ; : 1-19, 2024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-38163972

RESUMEN

Antinatalism assigns reproduction a negative value. There should be fewer or no births. Those who say that there should be fewer births have been called conditional antinatalists. A better name for their view would be selective pronatalism. Those who say that there should be no births face two challenges. They must define the scope of their no-birth policy. Does it apply only to human or sentient beings or can it also be extended to all organic life, perhaps even to machine consciousness? And whatever the scope, they have to justify the eventual extinction of humankind or other life forms, an inevitable consequence of unconditional antinatalism. Different axiologies and moral theories produce different responses to these challenges. It is argued that a two-value conflict-sensitive negative utilitarianism would produce a kind and reasonable justification for ending at least human and factory-animal reproduction. The conclusion is purely moral and supports only voluntary extinction for humankind.

2.
Camb Q Healthc Ethics ; 33(2): 217-231, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36799026

RESUMEN

This article presents a revised version of negative utilitarianism. Previous versions have relied on a hedonistic theory of value and stated that suffering should be minimized. The traditional rebuttal is that the doctrine in this form morally requires us to end all sentient life. To avoid this, a need-based theory of value is introduced. The frustration of the needs not to suffer and not to have one's autonomy dwarfed should, prima facie, be decreased. When decreasing the need frustration of some would increase the need frustration of others, the case is deferred and a fuller ethical analysis is conducted. The author's perceptions on murder, extinction, the right to die, antinatalism, veganism, and abortion are used to reach a reflective equilibrium. The new theory is then applied to consumerism, material growth, and power relations. The main finding is that the burden of proof should be on those who promote the status quo.


Asunto(s)
Análisis Ético , Obligaciones Morales , Humanos , Teoría Ética , Filosofía
3.
Camb Q Healthc Ethics ; 33(2): 238-259, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37496143

RESUMEN

Antinatalism is an emerging philosophy and practice that challenges pronatalism, the prevailing philosophy and practice in reproductive matters. We explore justifications of antinatalism-the arguments from the quality of life, the risk of an intolerable life, the lack of consent, and the asymmetry of good and bad-and argue that none of them supports a concrete, understandable, and convincing moral case for not having children. We identify concentration on possible future individuals who may or may not come to be as the main culprit for the failure and suggest that the focus should be shifted to people who already exist. Pronatalism's hegemonic status in contemporary societies imposes upon us a lifestyle that we have not chosen yet find almost impossible to abandon. We explicate the nature of this imposition and consider the implications of its exposure to different stakeholders with varying stands on the practice of antinatalism. Imposition as a term has figured in reproductive debates before, but the argument from postnatal, mental, and cultural imposition we launch is new. It is the hitherto overlooked and underdeveloped justification of antinatalism that should be solid and comprehensible enough to be used even by activists in support of their work.


Asunto(s)
Filosofía , Calidad de Vida , Niño , Humanos , Principios Morales , Disentimientos y Disputas , Estilo de Vida
4.
Camb Q Healthc Ethics ; 33(2): 151-157, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37781781
5.
Bioethics ; 37(9): 829-830, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37897494
6.
Society ; : 1-14, 2023 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-37362038

RESUMEN

Nudging, according to its inventors and defenders, is supposed to provide a non-coercive way of changing human behavior for the better-a freedom-respecting form of "libertarian paternalism." Its original point was to complement coercive modes of influence without any need of justification in liberal frameworks. This article shows, using the example of food-product placement in grocery stores, how this image is deceptive. Although nudging practices may not restrict the freedom of consumers, nudging arrangements by public health authorities do restrict the freedom of shopkeepers in standard liberal senses. Libertarianism cannot justify this coercion, and the creed is best left out of the equation as the ideological ruse that it, in this discussion, is. Other liberal theories can justify the coercion, but on grounds that can also be applied to other methods of public health promotion by subsidies and regulation. This result reaffirms that nudging should be seen to complement, not to replace, those other methods.

7.
Camb Q Healthc Ethics ; : 1-11, 2023 Jun 27.
Artículo en Inglés | MEDLINE | ID: mdl-37366112

RESUMEN

Sustainability, properly understood, is an existential moral ideal. The United Nations, however, defines it in terms of 17 indivisible sustainable development goals. This definition changes the core idea of the concept. It turns sustainability from a moral ideal into a set of economy-based political aspirations. The European Union's bioeconomy strategy demonstrates the shift aptly and reveals its main problem. When economy is prioritized, social and ecological concerns become secondary. This has been the United Nations line since the Brundtland Commission's report, Our Common Future in 1987. Considerations of justice illustrate the inadequacy of the approach. Equality and justice require that all those affected by decisions are heard in making them. Under the current operationalization, decisions related to the natural environment and climate change are currently being made without hearing voices that advocate deeper social and ecological equality. After an explication of the problem and the state of the art as outlined above, a new notion of justainability is introduced and it is argued that assuming it would be a step in the right direction in taking also noneconomic values properly into account in international decision making.

9.
Camb Q Healthc Ethics ; 32(3): 391-396, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-36794406

RESUMEN

This paper provides an overview of the development and the sociopolitical background of legislation pertaining to abortion in Finland from the nineteenth century to the current day. The first Abortion Act came to force in 1950. Before that, abortions were handled under criminal law. The 1950 law was restrictive and allowed abortions in very limited circumstances only. Its main aim was to reduce the number of abortions and especially illegal abortions. It was not very successful in reaching these goals, but, significantly, it moved abortions from the realm of the criminal law to the hands of medical professionals. The birth of the welfare state and the prenatal attitudes of 1930s and 1940s Europe played their part in shaping the law. By late 1960s, with the rise of the women's rights movement and other changes in society, there was pressure to change the outdated law. The new 1970 Abortion Act was broader and allowed abortions for limited social reasons too but left very limited, if any, room for a woman's right to choose. After a citizen's initiative in 2020, the year 2023 will see a significant amendment to the 1970 law; during the first 12 weeks of pregnancy, an abortion can be performed on the woman's request alone. However, there is still a long way to go in terms of women's rights and abortion laws in Finland.


Asunto(s)
Aborto Inducido , Médicos , Embarazo , Femenino , Humanos , Finlandia , Reproducción , Derechos de la Mujer , Aborto Legal
10.
Theor Med Bioeth ; 44(2): 177-189, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36566305

RESUMEN

The article examines five controversial views, expressed in Jonathan Swift's A Modest Proposal, Helga Kuhse and Peter Singer's Should the Baby Live? The Problem of Handicapped Infants, Alberto Giubilini and Francesca Minerva's "After-birth abortion: why should the baby live?", Julian Savulescu's "Procreative beneficence: why we should select the best children", and the author's "A rational cure for prereproductive stress syndrome". These views have similarities and differences on five levels: the grievances they raise, the proposals they make, the justifications they explicitly use, the justifications they implicitly rely on, and the criticisms that they have encountered. A comparison of these similarities and differences produces two findings. First, some controversial views based on utilitarian considerations would probably fare better flipped upside down and presented as Juvenalian satires. Secondly, a modicum of humor or modesty could help presenters of controversial views to stir polite critical discussion on the themes that they put forward.


Asunto(s)
Aborto Inducido , Bioética , Embarazo , Femenino , Niño , Humanos , Obligaciones Morales , Reproducción , Parto
11.
Camb Q Healthc Ethics ; 32(3): 434-442, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-36202776

RESUMEN

The reversal of Roe v. Wade by the U.S. Supreme Court allowed the states to regulate terminations of pregnancy more autonomously than during 1973-2022. Those who think that women should be legally entitled to abortions at their own request are suggesting that annulling the reversal could be an option. This would mean continued reliance on the interpretation of privacy that Roe v. Wade stood on. The interpretation does not have the moral support that its supporters think. This can be shown by recalling the shortcomings of Judith Jarvis Thomson's famous violinist example and its application to abortion laws. Philosophically better reasons for not restricting access to abortion can be found in a simple principle of fairness and in sensible theories on the value of human life. Whether or not philosophy has any use in the debate is another matter. Legal decisions to regulate terminations are probably based on pronatalist state interests, shared by the apparently disagreeing parties and immune to rational argumentation.


Asunto(s)
Aborto Inducido , Aborto Legal , Embarazo , Femenino , Humanos , Estados Unidos , Privacidad
12.
Camb Q Healthc Ethics ; : 1-12, 2022 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-36511114

RESUMEN

I present a qualified new defense of antinatalism. It is intended to empower potential parents who worry about their possible children's life quality in a world threatened by environmental degradation, climate change, and the like. The main elements of the defense are an understanding of antinatalism's historical nature and contemporary varieties, a positional theory of value based on Epicurean hedonism and Schopenhauerian pessimism, and a sensitive guide for reproductive decision-making in the light of different views on life's value and risk-taking. My conclusion, main message, to the concerned would-be parents is threefold. If they believe that life's ordinary frustrations can make it not worth living, they should not have children. If they believe that a noticeably low life quality makes it not worth living and that such life quality can be reasonably expected, they should not have children, either. If they believe that a noticeably low life quality is not reasonably to be expected or that the risk is worth taking, they can, in the light of their own values and beliefs, have children. The conclusion is supported by a combination of the extant arguments for reproductive abstinence, namely the arguments from consent, moral asymmetry, life quality, and risk.

13.
Am J Bioeth ; 22(12): 58-60, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36416427

Asunto(s)
Bioética , Humanos , Filosofía
14.
Camb Q Healthc Ethics ; 31(2): 279, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35243978
16.
Camb Q Healthc Ethics ; 31(2): 220-229, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-33612143

RESUMEN

When humanity has either suppressed coronavirus disease 2019 or learned to come to terms with its continued existence, governments and corporations probably return to their prepandemic stances. Solutions to the world's problems are sought from technology and business innovations, not from considerations of equality and well-being for all. This is in stark contrast with the pandemic-time situation. Many governments, at least initially, listened to the recommendations of expert advisers, most notably public health authorities, who proceeded from considerations of equality and common good. I suggest that we should continue on this path when the immediate threat of the disease is over. Other crises are already ongoing-poverty, conflicts, climate change, financial bubbles, and so on-and it would be good to use expert knowledge rather than interests and ideologies in dealing with them. To assist in this, I outline the characteristics of a new kind of counsellor, impartial adviser, who is normatively motivated by a sense of copathy and who takes into account all views, nice and not-so-nice alike. I illustrate the nature and ideological orientation of copathic impartial advisers by placing them on a map of justice and examining their relationships with the main political moralities of our time.


Asunto(s)
COVID-19 , Comercio , Humanos , Conocimiento , Pandemias , SARS-CoV-2
17.
Camb Q Healthc Ethics ; 31(2): 256-262, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-33342454

RESUMEN

Is there such a thing as corona solidarity? Does voluntary mutual aid solve the problems caused by COVID-19? I argue that the answer to the first question is "yes" and to the second "no." Not that the answer to the second question could not, in an ideal world, be "yes," too. It is just that in this world of global capitalism and everybody looking out for themselves, the kind of communal warmth celebrated by the media either does not actually exist or is too weak to rule out the uglier manifestations of group togetherness, driven partly by the pandemic. I make my point by offering two approaches to understanding what solidarity is. According to the first, it is essentially partiality: "us" against "them." According to the second, it can be many things, including the impartial promotion of the good of others. I show that the second reading would make it possible for mutual aid to solve the problems caused by COVID-19 and other crises. This would happen at the expense of conceptual clarity, but that is a minor concern. The major concern is that the more natural manifestations of group togetherness are incited by negative feelings. This is par for the course within the narrower reading of solidarity, but it means that the potentially positive ideas of identity, care, communal values, and special relations are displayed in violent confrontation instead of a calm recognition of the threats that most of us face together.


Asunto(s)
COVID-19 , Humanos , Pandemias , SARS-CoV-2 , Justicia Social
18.
Camb Q Healthc Ethics ; 30(2): 210-213, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33764288

Asunto(s)
Liderazgo , Humanos
19.
Camb Q Healthc Ethics ; 30(1): 114-122, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32349824

RESUMEN

The role of bioethicists amidst crises like the COVID-19 pandemic is not well defined. As professionals in the field, they should respond, but how? The observation of the early days of pandemic confinement in Finland showed that moral philosophers with limited experience in bioethics tended to apply their favorite theories to public decisions, with varying results. Medical ethicists were more likely to lend support to the public authorities by soothing or descriptive accounts of the solutions assumed. These are approaches that Tuija Takala has called the firefighting and window dressing models of bioethics. Human rights lawyers drew attention to the flaws of the government's regulative thinking. Critical bioethicists offered analyses of the arguments presented and the moral and political theories that could be used as the basis of good and acceptable decisions.


Asunto(s)
Bioética , COVID-19 , Pandemias , Teoría Ética , Finlandia , Regulación Gubernamental , Derechos Humanos , Humanos , SARS-CoV-2 , Aislamiento Social
20.
Camb Q Healthc Ethics ; 30(1): 204, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-32597738

RESUMEN

The role of bioethicists amidst crises like the COVID-19 pandemic is not well defined. As professionals in the field, they should respond, but how? The observation of the early days of pandemic confinement in Finland showed that moral philosophers with limited experience in bioethics tended to apply their favorite theories to public decisions with varying results. Medical ethicists were more likely to lend support to the public authorities by soothing or descriptive accounts of the solutions assumed. These are approaches that Tuija Takala has called the firefighting and window dressing models of bioethics. Human rights lawyers drew attention to the flaws of the government's regulative thinking. Critical bioethicists offered analyses of the arguments presented and the moral and political theories that could be used as the basis of good and acceptable decisions.

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